Individual
JAMES KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 426-9372
Mailing address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9559
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
01029213
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109450
ANTHEM
IN
01
—
64752041
KY MEDICAID
KY
Enumeration date
11/29/2006
Last updated
04/07/2008
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